Bortezomib in previously treated phosphatase and tension homology-deficient patients with advanced intrahepatic cholangiocarcinoma: An open-label, prospective and single-centre phase II trial

Tian-mei Zeng , Tian-yi Jiang , Guang Yang , Zhuo Cheng , Cheng Lou , Wei Wei , Chen-jie Tao , Shouzi Hu , Hui Wang , Xiao-wen Cui , Ye-xiong Tan , Li-wei Dong , Hong-yang Wang , Zhen-gang Yuan

Clinical and Translational Medicine ›› 2024, Vol. 14 ›› Issue (5) : e1675

PDF
Clinical and Translational Medicine ›› 2024, Vol. 14 ›› Issue (5) : e1675 DOI: 10.1002/ctm2.1675
RESEARCH ARTICLE

Bortezomib in previously treated phosphatase and tension homology-deficient patients with advanced intrahepatic cholangiocarcinoma: An open-label, prospective and single-centre phase II trial

Author information +
History +
PDF

Abstract

• There is a limited strategy for the second-line option of intrahepatic cholangiocarcinoma (ICC).

• This investigator-initiated phase 2 study evaluated bortezomib in ICC patients with phosphatase and tension homology deficiency.

• The overall response rate was 18.75% and the overall survival was 7.2 months in the intent-to-treat cohort.

• These results justify further developing bortezomib in ICC patients with PTEN deficiency.

Keywords

bortezomib / intrahepatic cholangiocarcinoma / PTEN

Cite this article

Download citation ▾
Tian-mei Zeng, Tian-yi Jiang, Guang Yang, Zhuo Cheng, Cheng Lou, Wei Wei, Chen-jie Tao, Shouzi Hu, Hui Wang, Xiao-wen Cui, Ye-xiong Tan, Li-wei Dong, Hong-yang Wang, Zhen-gang Yuan. Bortezomib in previously treated phosphatase and tension homology-deficient patients with advanced intrahepatic cholangiocarcinoma: An open-label, prospective and single-centre phase II trial. Clinical and Translational Medicine, 2024, 14(5): e1675 DOI:10.1002/ctm2.1675

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

LoEC, RuckerAN, FederleMP. Hepatocellular carcinoma and intrahepatic cholangiocarcinoma: imaging for diagnosis, tumor response to treatment and liver response to radiation. Semin Radiat Oncol. 2018;28:267-276.

[2]

OhD-Y, HeAR, QinS, et al. A phase 3 randomized, double-blind, placebo-controlled study of durvalumab in combination with gemcitabine plus cisplatin (GemCis) in patients (pts) with advanced biliary tract cancer (BTC): tOPAZ-1. J Clin Oncol. 2022;40:378-378.

[3]

LamarcaA, PalmerDH, WasanHS, et al. Advanced biliary cancer working, second-line FOLFOX chemotherapy versus active symptom control for advanced biliary tract cancer (ABC-06): a phase 3, open-label, randomised, controlled trial. Lancet Oncol. 2021;22:690-701.

[4]

BanalesJM, MarinJJG, LamarcaA, et al. Cholangiocarcinoma 2020: the next horizon in mechanisms and management. Nat Rev Gastroenterol Hepatol. 2020;17:557-588.

[5]

LeeYR, ChenM, PandolfiPP. The functions and regulation of the PTEN tumour suppressor: new modes and prospects. Nat Rev Mol Cell Biol. 2018;19:547-562.

[6]

LeeD, DoIG, ChoiK, et al. The expression of phospho-AKT1 and phospho-MTOR is associated with a favorable prognosis independent of PTEN expression in intrahepatic cholangiocarcinomas. Mod Pathol. 2012;25:131-139.

[7]

JiangTY, PanYF, WanZH, et al. PTEN status determines chemosensitivity to proteasome inhibition in cholangiocarcinoma. Sci Transl Med. 2020;12(562):eaay0152.

[8]

JiangTY, CuiXW, ZengTM, et al. PTEN deficiency facilitates gemcitabine efficacy in cancer by modulating the phosphorylation of PP2Ac and DCK. Sci Transl Med. 2023;15:eadd7464.

[9]

JiangTY, FengXF, FangZ, et al. PTEN deficiency facilitates the therapeutic vulnerability to proteasome inhibitor bortezomib in gallbladder cancer. Cancer Lett. 2021;501:187-199.

[10]

JiangTY, ShiYY, CuiXW, et al. PTEN deficiency facilitates exosome secretion and metastasis in cholangiocarcinoma by impairing TFEB-mediated lysosome biogenesis. Gastroenterology. 2023;164(3):424-438.

[11]

DenlingerCS, Meropol NJ, LiT, et al. A phase II trial of the proteasome inhibitor bortezomib in patients with advanced biliary tract cancers. Clin Colorectal Cancer. 2014;13:81-86.

[12]

RichardsonPG, Briemberg H, JagannathS, et al. Frequency, characteristics, and reversibility of peripheral neuropathy during treatment of advanced multiple myeloma with bortezomib. J Clin Oncol. 2006;24:3113-3120.

[13]

BinghamV, OngCW, JamesJ, et al. PTEN mRNA detection by chromogenic, RNA in situ technologies: a reliable alternative to PTEN immunohistochemistry. Hum Pathol. 2016;47:95-103.

[14]

Abou-AlfaGK, Macarulla T, JavleMM, et al. Ivosidenib in IDH1-mutant, chemotherapy-refractory cholangiocarcinoma (ClarIDHy): a multicentre, randomised, double-blind, placebo-controlled, phase 3 study. Lancet Oncol. 2020;21:796-807.

[15]

Abou-AlfaGK, SahaiV, HollebecqueA, et al. Pemigatinib for previously treated, locally advanced or metastatic cholangiocarcinoma: a multicentre, open-label, phase 2 study. Lancet Oncol. 2020;21:671-684.

[16]

SaborowskiA, VogelA, SegattoO. Combination therapies for targeting FGFR2 fusions in cholangiocarcinoma. Trends Cancer. 2022;8:83-86.

[17]

HuangXW, ShiGM, ZhangT, et al. 53P FGFR2 fusion and/or rearrangement profiling in Chinese patients with intrahepatic cholangiocarcinoma. Ann Oncol. 2021;32:S379.

[18]

JavleM, LoweryM, ShroffRT, et al. Phase II study of BGJ398 in patients with FGFR-altered advanced cholangiocarcinoma. J Clin Oncol. 2018;36:276-282.

[19]

SunW, PatelA, NormolleD, et al. A phase 2 trial of regorafenib as a single agent in patients with chemotherapy-refractory, advanced, and metastatic biliary tract adenocarcinoma. Cancer. 2019;125:902-909.

[20]

VillanuevaL, LwinZ, ChungHC, et al. Lenvatinib plus pembrolizumab for patients with previously treated biliary tract cancers in the multicohort phase II LEAP-005 study. J Clin Oncol. 2021;39:321-321.

[21]

ValleJ, WasanH, PalmerDH, et al. A.B.C.T. investigators, cisplatin plus gemcitabine versus gemcitabine for biliary tract cancer. N Engl J Med. 2010;362:1273-1281.

[22]

PengW, ChenJQ, LiuC, et al. Loss of PTEN promotes resistance to t cell-mediated immunotherapy. Cancer Discov. 2016;6:202-216.

[23]

ZhaoJ, ChenAX, GartrellRD, et al. Immune and genomic correlates of response to anti-PD-1 immunotherapy in glioblastoma. Nat Med. 2019;25:462-469.

[24]

Barroso-SousaR, KeenanTE, PernasS, et al. Tumor mutational burden and PTEN alterations as molecular correlates of response to PD-1/L1 blockade in metastatic triple-negative breast cancer. Clin Cancer Res. 2020;26:2565-2572.

[25]

RosinolL, OriolA, RiosR, et al. Bortezomib, lenalidomide, and dexamethasone as induction therapy prior to autologous transplant in multiple myeloma. Blood. 2019;134:1337-1345.

[26]

WuS, ZhengC, ChenS, et al. Subcutaneous administration of bortezomib in combination with thalidomide and dexamethasone for treatment of newly diagnosed multiple myeloma patients. Biomed Res Int. 2015;2015:927105.

[27]

BoldRJ, Virudachalam S, McConkeyDJ. Chemosensitization of pancreatic cancer by inhibition of the 26S proteasome. J Surg Res. 2001;100:11-17.

RIGHTS & PERMISSIONS

2024 The Authors. Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics.

AI Summary AI Mindmap
PDF

169

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/